Individual provider Active NPI

Tiona Lynn Gosha I, RN, LPC

  • Professional Counselor
  • Beachwood, OH
National Provider Identifier
1740274398
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C 0700085 Issued in OH
Practice address
2000 Auburn Dr
Suite 200
Beachwood, OH 44122-4314
Phone
(216) 322-4869
Fax
(800) 662-9647
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 184597 OH
Professional Counselor 101YP2500X C 0700085 OH Primary
Pastoral Counselor 101YP1600X C0700085 OH

Addresses

Primary practice location

2000 Auburn Dr
Suite 200
Beachwood, OH 44122-4314

Mailing address

2000 Auburn Dr
Suite 200
Beachwood, OH 44122-4314
Phone (216) 322-4869

Other identifiers 1

IdentifierTypeStateIssuer
2268531MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
C0700085OHMDPastoral Counselor
C 0700085OHMDProfessional Counselor
184597OHMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1740274398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR",
            "address_2": "SUITE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224314",
            "telephone_number": "216-322-4869",
            "fax_number": "800-662-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR",
            "address_2": "SUITE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224314",
            "telephone_number": "216-322-4869",
            "fax_number": "800-662-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHA",
        "first_name": "TIONA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "RN, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "184597",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C 0700085",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "OH",
            "license": "C0700085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2268531",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.